Provider Demographics
NPI:1215108360
Name:CHALLENGE UNLIMITED, INC
Entity type:Organization
Organization Name:CHALLENGE UNLIMITED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PROGRAM OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-465-0044
Mailing Address - Street 1:4 EMMIE L KAUS LN
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62002-8865
Mailing Address - Country:US
Mailing Address - Phone:618-465-0044
Mailing Address - Fax:618-462-4178
Practice Address - Street 1:4 EMMIE L KAUS LN
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002-8865
Practice Address - Country:US
Practice Address - Phone:618-465-0044
Practice Address - Fax:618-462-4178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services